KW COUPLES THERAPY, LLC (NPI# 1497277552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497277552 |
| Entity Type | Organization |
| Organization Name | KW COUPLES THERAPY, LLC |
| Practice Address |
400 Continental Blvd Fl 6 El Segundo CA 90245-5074 |
| Mailing Address |
Po Box 7531 Long Beach CA 90807-0531 |
| Practice Telephone | 3107510389 |
| Mailing Telephone | 3107510389 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | KIAUNDRA JACKSON (CEO) |
| Authorized Official Telephone | 3107510389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
100193 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KW COUPLES THERAPY, LLC | 8929 S Sepulveda Blvd Ste 410, Los Angeles, CA 90045-3634 |
| Street Address |
400 CONTINENTAL BLVD FL 6 |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578902136 | Righteous Health Services, LLC | Home Health | 400 Continental Blvd Fl 6, El Segundo, CA 90245-5074 | 2013-06-17 |
| 1225695604 | Walter Ahhaitty | Community Health Worker | 400 Continental Blvd Fl 6, El Segundo, CA 90245-5074 | 2019-05-21 |
| 1275935983 | Kiaundra Jackson | Marriage & Family Therapist | 400 Continental Blvd Fl 6, El Segundo, CA 90245-5074 | 2014-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934263 | Schulin Invest, LLC | Clinic/Center | 115 Main St, El Segundo, CA 90245-3802 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on KW COUPLES THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.